{"id":102,"date":"2018-11-02T13:46:28","date_gmt":"2018-11-02T13:46:28","guid":{"rendered":"http:\/\/www.stockportccg.nhs.uk\/practicehub\/?page_id=102"},"modified":"2022-11-10T14:53:04","modified_gmt":"2022-11-10T14:53:04","slug":"referrals","status":"publish","type":"page","link":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/ccg-documents\/referrals\/","title":{"rendered":"Standard Referrals"},"content":{"rendered":"<p><strong>Referral Guide:<\/strong><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/19367\/?tmstv=1776438098\" rel=\"nofollow\">\n        GP referral guide May 2022    <\/a>\n<\/div>\n<p><strong>Advanced Clinical Practitioner and Matron Referral Guide<\/strong><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/20363\/?tmstv=1776438098\" rel=\"nofollow\">\n        Advanced Clinical Practitioner (ACP) and Matron Service SFT Referral Guide    <\/a>\n<\/div>\n<p><strong>Advice &amp; Guidance &#8211; User Guide<\/strong><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10430\/?tmstv=1776438098\" rel=\"nofollow\">\n        Advice and Guidance - User Guide    <\/a>\n<\/div>\n<p><strong>New Referrals &#8211; Work Request form<\/strong><\/p>\n<ul>\n<li>Request Form: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Data_Quality_Team_Work_Request_Form_12-06-19.docx\">Work request form<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Active Recovery:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Adult_Community_Therapy_Team_Domicilary_Rehabilitation_V2_Aug_18.ewdt\">Adult Community Therapy Team Domicilary Rehabilitation V2 Aug 18<\/a><\/li>\n<\/ul>\n<p><strong>Anticoagulant:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Anticoagulant_warf_proforma_V2_Mar_18.ewdt\">Anticoagulant Clinic Referral V2 Mar 18<\/a><\/li>\n<\/ul>\n<p><strong>Arthritis:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Early-Inflammatory-Arthritis-Clinic-V1-Apr-19.ewdt\">Early Inflammatory Arthritis Clinic V1 Apr 19<\/a><\/li>\n<\/ul>\n<p><strong>BCG:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/BCG-Referral-Form-V1-Jun-15.ewdt\">BCG Referral Form V1 Jun 15<\/a><\/li>\n<\/ul>\n<p><strong>Breathlessness:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Breathlessness_Clinic_Referral_form_V1_Jun_18.ewdt\">Breathlessness Clinic Referral form V1 Jun 18<\/a><\/li>\n<\/ul>\n<p><strong>Bone Mineral Destiometry (BMD):<\/strong><\/p>\n<ul>\n<li>EMIS FORM:\u00a0<a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/DEXA_REFERRAL_FORM_V8_Sep_2019.ewdt\">DEXA Referral Form V8 Sept 2019<\/a><\/li>\n<\/ul>\n<p><strong>Chest Pain:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/New_Onset_Chest_Pain_Clinic_Referral_V2_Jul_18.ewdt\">New Onset Chest Pain Clinic Referral V2 Jul 18<\/a><\/li>\n<\/ul>\n<p><strong>Chronic Fatigue Syndrome \/ ME:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Referral_form_MECFS_ Stockport_V4_Feb19.ewdt\">ME\/CFS Referral Form V4 &#8211; Mar 19<\/a><\/li>\n<\/ul>\n<p><strong>Coeliac Disease:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/SUSPECTED-COELIAC-DISEASE-16-06-17-Ver3.ewdt\">Suspected Coeliac Disease Referral Form V3 &#8211; Jun 17<\/a><\/li>\n<\/ul>\n<p><strong>Continence<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Continence-Referral-Form-V1-Nov-17.ewdt\">Continence Referral Form V1 Nov 17<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Childrens_Continence_Service_Referral_V2_Mar_19.ewdt\">Children&#8217;s Continence Service Referral Form V2 Mar 19<\/a><\/li>\n<\/ul>\n<p><strong>Diabetes:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/UPDATED_PATIENT_REFERRAL_FORM_XPERT&amp;EPP_July-2018.ewdt\">Diabetes XPERT &amp; EPP V2 Jul 18<\/a><\/li>\n<\/ul>\n<p><strong>Echocardiogram:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Echocardiogram referral form V4 Apr 19.ewdt\">Echocardiogram referral form V4 Apr 19<\/a><\/li>\n<\/ul>\n<p><strong>Endoscopy:<\/strong><\/p>\n<ul>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1438\/?tmstv=1776438098\" rel=\"nofollow\">\n        Stockport-endoscopy-flyer    <\/a>\n<\/div><\/li>\n<\/ul>\n<p><strong>Enhanced Case Management:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/ECM_Referral_Form_V2_Nov_18.ewdt\">ECM Referral Form V2 Nov 18<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Enhanced_Case_Management_Goals_of_Care_Record_V1_Feb_18.ewdt\">Enhanced Case Management Goals of Care Record V1 Feb 18<\/a><\/li>\n<\/ul>\n<p><strong>ENT:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/ENT-Rapid-Access-Clinic-Referral-Form.ewdt\">ENT Rapid Access Clinic Referral Form &#8211; V1 Jul 17<\/a><\/li>\n<\/ul>\n<p><strong>Falls:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/SteadyinStockport_Falls_BoneHealth_V2_Jan_18.ewdt\">Steady in Stockport Falls Bone Health V2 Jan 18 &#8211; Falls Service<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/falls-exercise-class-referral-V1-Dec-17.ewdt\">Steady in Stockport Falls Exercise Class Referral V1 Dec 17 &#8211; Exercise sessions run by Life Leisure designed to reduce falls risk<\/a><\/li>\n<\/ul>\n<p><strong>Gynaecology Service<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/eRS-Gynaecology-criteria-for-GPs-V1-Apr-19.ewdt\">eRS Gynaecology criteria for GPs V1 Apr 19<\/a><\/li>\n<\/ul>\n<p><strong>Healthy Stockport:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Healthy-Stockport-template-V1-Jun-18.ewdt\">Healthy Stockport template V1 Jun 18<\/a><\/li>\n<\/ul>\n<p><strong>Heart Failure:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/15948\/\">Heart Failure Referral Form February 2021<\/a><\/li>\n<\/ul>\n<p><strong>Infectious Disease<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/NOIDS_Form_GM_V1_Feb_18.ewdt\">Notification of Infectious Disease form V1 Feb 18<\/a><\/li>\n<\/ul>\n<p><strong>Leg Ulcer:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Leg_Ulcer_referral_V1_Dec_17.ewdt\">Leg Ulcer referral V1 Dec 2017<\/a><\/li>\n<\/ul>\n<p><strong>Lymphoedema:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Lymphoedema-Service-Referral-Form-V1-Apr-19.ewdt\">Lymphoedema Service Referral Form V1 Apr 19<\/a><\/li>\n<\/ul>\n<p><strong>Mental Health:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/asd-adhd-referral-form-final-December-2018.ewdt\">ASD ADHD referral form V1 Dec 18<\/a><\/li>\n<\/ul>\n<p><strong>Neuro-Rehabilitation<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/CNRS-Referral_Form_28-9-8_V1_Dec-18.ewdt\">Community Neuro-Rehabilitation Service V1 Dec 18<\/a><\/li>\n<\/ul>\n<p><strong>Oxygen Assessment:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Oxygen_Assessment_Referral_Form_V1_Mar_17.ewdt\">Oxygen Assessment Referral Form V1 Mar 17<\/a><\/li>\n<\/ul>\n<p><strong>Palliative Care:<\/strong><\/p>\n<ul>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1441\/?tmstv=1776438098\" rel=\"nofollow\">\n        Stockport-Specialist-Palliative-Care-Team    <\/a>\n<\/div><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Specialist_Palliative_Care_Team_Referral_form_V2_Aug_2018.ewdt\">Special Palliatve Care Team Referral V2 Aug 18<\/a><\/li>\n<\/ul>\n<p><strong>Paediatric General Surgery:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Paediatric-Surgery-Notes-for-GPs-V1-Apr-13.ewdt\">Paediatric Surgery Notes for GPs<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportccg.nhs.uk\/assets\/templates\/Paeds-Referral-Guidelines-SHH-Info-Sheet-V1-May-07.ewdt\">Paeds Referral Guidelines SHH Info Sheet<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Promoting-Paeds-at-SHH-V1-May-07.ewdt\">Promoting Paeds at SHH<\/a><\/li>\n<\/ul>\n<p><strong>Pathology:<\/strong><\/p>\n<ul>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/17599\/?tmstv=1776438098\" rel=\"nofollow\">\n        Blood Sciences Specimen Request Form    <\/a>\n<\/div><\/li>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/17602\/?tmstv=1776438099\" rel=\"nofollow\">\n        Cell Path Specimen Request Form    <\/a>\n<\/div><\/li>\n<li style=\"text-align: left;\"><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/17605\/?tmstv=1776438099\" rel=\"nofollow\">\n        Microbiology Specimen Request Form    <\/a>\n<\/div><\/li>\n<\/ul>\n<p><strong>Podiatry\/Orthotics:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/NEW_PODIATRY_REFERRAL_FORM_V6_May_19.ewdt\">Podiatry Referral Form V6 May 19<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Orthotics-Referral-Form-V1-Mar-16.ewdt\">Orthotics Referral Form V1 Mar 16<\/a><\/li>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10445\/?tmstv=1776438099\" rel=\"nofollow\">\n        Managed Referrals Guidance - Podiatry    <\/a>\n<\/div><\/li>\n<\/ul>\n<p><strong>Psychological<\/strong> <strong>Medicine<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Psychological_Medicine_PMPC_Ref_Fom_010318_V2_Jan_19.ewdt\">Psychological Medicine Referral Form V2 Jan 19<\/a><\/li>\n<\/ul>\n<p><strong>Smoking Cessation<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportccg.nhs.uk\/assets\/templates\/ABL_Health_Referral_Form-smoking-Stockport_V1_Dec18.ewdt\">ABL Health Referral Form smoking Stockport V1 Dec18<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Smoking_Cessation_Data_Record_Sheet_GP_201701.ewdt\">Smoking Cessation A Better Life Data Record Sheet GP V1 Jan 17<\/a><\/li>\n<\/ul>\n<p><strong>Speach and Language Therapy:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Speech_and_Language_Therapy_V1_Jun_18.ewdt\">Speech and Language Therapy V1 Jun 18<\/a><\/li>\n<\/ul>\n<p><strong>St Ann&#8217;s Hospice: <\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/St-Ann's-Hospice-Referral-V2-Sept%2018.ewdt\">St Ann&#8217;s Hospice Referral V2 Sept 18<\/a><\/li>\n<\/ul>\n<p><strong>Stockport Triage Assessment referral Team (START):<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Lifestyles-START-form-V5-June-18.ewdt\">START &#8211; Lifestyles form V5 June 18 <\/a><\/li>\n<\/ul>\n<p><strong>Tissue Viability:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Tissue_Viability_Referral_Form_V1_Feb_18.ewdt\">Tissue Viability Referral Form V1 Feb 18<\/a><\/li>\n<\/ul>\n<p><strong>Transient ischaemic attack (TIA)\u00a0<\/strong><\/p>\n<ul>\n<li><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/16689\/?tmstv=1776438099\" rel=\"nofollow\">\n        Transient ischaemic attack (TIA) Referral Form    <\/a>\n<\/div><\/li>\n<\/ul>\n<p><strong>Ultrasound:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/ULTRASOUND_REFERRAL_FORM_BEACON_V1_17.ewdt\">Ultrasound Referral Form &#8211; Beacon Medical Services V1 Jan 17<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Ultrasound_Generic_referral_form_V3_Dec_18.ewdt\">USS &#8211; Ultrasound Referral Form &#8211; Stockport CCG V2 Dec 18<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Stepping_Hill_Ultrasound_request_V2_fax_to_419_5779.ewdt\">USS &#8211; Ultrasound Referral Form &#8211; Under 18&#8217;s, Groin, Neck Lumps V2 Dec 18<\/a><\/li>\n<\/ul>\n<p><strong>Weight Management<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Stockport-Adult-weight-management-ref-form-V1-Apr-19.ewdt\">Adult weight management ref form V1 Apr 19<\/a><\/li>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/Dietetics-Referral-form-for-dietetics-Dec-18.ewdt\">Dietetics Referral form &#8211; V1 Dec 18<\/a><\/li>\n<\/ul>\n<p><strong>Wellbeing and independance in the community:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/WIN-updated-referral-form-V1-Sept-17.ewdt\">WIN updated referral form V1 Sept 2017<\/a><\/li>\n<\/ul>\n<p><strong>Wheelchair Service:<\/strong><\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/WHEELCHAIR_SERVICE_referral_V3_Jun_18.ewdt\">Wheelchair Service referral V3_Jun 18<\/a><\/li>\n<\/ul>\n<p><strong>X-Ray<\/strong>:<\/p>\n<ul>\n<li>EMIS FORM: <a href=\"https:\/\/www.stockportpracticehub.co.uk\/assets\/templates\/X-RAY_Request_Form_V1_Nov-17.ewdt\">X-Ray Request Form V1 Nov 17<\/a><\/li>\n<\/ul>\n   ","protected":false},"excerpt":{"rendered":"<p>Referral Guide: Advanced Clinical Practitioner and Matron Referral Guide Advice &amp; Guidance &#8211; User Guide New Referrals &#8211; Work Request form Request Form: Work request form [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":341,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-right-sidebar.php","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/102"}],"collection":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/comments?post=102"}],"version-history":[{"count":180,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/102\/revisions"}],"predecessor-version":[{"id":20365,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/102\/revisions\/20365"}],"up":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/341"}],"wp:attachment":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/media?parent=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}